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St. Catherine UniversitySOPHIA
Antonian Scholars Honors Program School of Humanities, Arts and Sciences
4-2012
When Helping Really Helps: How to EffectivelyHelp Without Hurting the Poor at the Bottom ofthe Pyramid in Developing CountriesLatifah KiribeddaSt. Catherine University, [email protected]
Follow this and additional works at: https://sophia.stkate.edu/shas_honors
Part of the Arts and Humanities Commons, Growth and Development Commons, Inequalityand Stratification Commons, and the International Economics Commons
This Senior Honors Project is brought to you for free and open access by the School of Humanities, Arts and Sciences at SOPHIA. It has been acceptedfor inclusion in Antonian Scholars Honors Program by an authorized administrator of SOPHIA. For more information, please [email protected].
Recommended CitationKiribedda, Latifah, "When Helping Really Helps: How to Effectively Help Without Hurting the Poor at the Bottom of the Pyramid inDeveloping Countries" (2012). Antonian Scholars Honors Program. 13.https://sophia.stkate.edu/shas_honors/13
Running head: WHEN HELPING REALLY HELPS 1
When Helping Really Helps: How to Effectively Help Without Hurting the Poor at the
Bottom of the Pyramid in Developing Countries
Latifah Kiribedda
Saint Catherine University, Saint Paul, MN
WHEN HELPING REALLY HELPS 2
Abstract
The issue of poverty alleviation at the Bottom of the Pyramid (BOP) in developing
nations is a hot topic on the global platform. The staggering numbers of people living
below the poverty line, coupled to the detrimental impact of extreme poverty on people
in developing countries, creates a moral imperative for people to help the poor at the
BOP. In response to the plight of the poor, many efforts have been put in place to help
the poor in developing nations. In order to understand poverty at the BOP, in this
paper, I provide a historical analysis of colonialism and the global systems (IMF, World
Bank, and GATT) and their substantial effect on the poor in developing countries. Then,
the efforts to help those at the BOP are categorized into three helping models: the
Government Aid Model, the Entrepreneurship Aid Model, and the Grassroots Aid
Model, each of which is analyzed. The paper concludes with seven guiding principles
that can be used to effectively help without hurting the poor at the BOP when working
at the grassroots level.
WHEN HELPING REALLY HELPS 3
Table of Contents
Prologue __________________________________________________________4
Introduction
Helping the Poor at the Bottom of the Pyramid (BOP) __9
Globalization and Poverty at the Bottom of the Pyramid (BOP) ___12
Government Aid Model___________________________________________19
Grassroots Aid Model ________26
Entrepreneurship Aid Model __30
When Helping Really Helps: The Seven Guiding Principles______ 38
Conclusion ___ __45
References_________________________________________________________47
WHEN HELPING REALLY HELPS 4
Prologue
The issue of poverty alleviation for those living in developing countries is dear to
my heart because I have seen the injurious effects of being poor in both Uganda and
Tanzania. I witnessed an HIV positive woman who lost her baby in child birth because
the nurse had to attend to five other women in child labor – she had previously lost 2
babies before their first birthdays. I saw hundreds of people waiting in long lines for
over half a day in order to access health care services; A desperate husband who had to
slowly transport his very ill wife (diagnosed with AIDS) on a bicycle to a hospital that
was over 20 miles away, along bumpy roads; women and children who lack access to
clean water; girls who would like to go to school but have to stay at home and care for
their siblings. Reflecting on these experiences, surely, I cannot sit back as vast global
inequalities prevail. I believe that we can have a better world in which all human beings
can enjoy the basic necessities of life.
As a native of Uganda, a developing country in East Africa, I have grappled
with questions about the issue of poverty alleviation for those living in poor countries,
and why those who are not from those nations spearhead it. As a matter of fact,
throughout my research process, I noticed that most of the scholarly work on
developing nations is written by economists, academicians, philosophers, and many
other authors from developed countries. I am not by any means discrediting this work;
WHEN HELPING REALLY HELPS 5
however, I strongly believe that effective solutions to poverty alleviation will ultimately
come from including the voices of people in developing countries.
I have also wondered why the poor in developing nations only seem to get
poorer despite the continuous help from wealthy nations; Not only in terms of dollars
but also missionary work, material donations, and various development initiatives,
including market based approaches to ending poverty. In fact, it appears that most
times, those who have come to help the poor in developing countries have instead
ended up hurting those they intended to help.
My inspiration for doing this work comes from the various experiences I have
had throughout my college experience at Saint Catherine University in Saint Paul,
Minnesota. First of all, at St. Catherine University, our core values of a Liberal Arts
education emphasize the importance of ethics and social justice, diversity, and global
perspectives. One of the core courses that every student must take is entitled Global
Search for Justice. Through this course students are challenged to deepen their
understanding and concern for social justice both nationally and globally and
consequently be inspired to work towards justice issues affecting people throughout the
world.
Reflecting on my experience growing up in a developing country, I realize that I
did not think about poverty as an issue of crisis and outright injustice. I grew up in the
WHEN HELPING REALLY HELPS 6
suburbs of the city, but I frequently visited my parents’ home villages during the
holidays. The poor in my parents’ home village lacked material things such as money, a
car, and modern medicine. However, they had a way of life that worked for them. I saw
women and children who worked in the shambas (food gardens) to grow their food,
and they used local herbs to treat common illnesses (my mother also used local herbs
such as fresh Aloe vera leaves to treat malaria). Many owned bicycles in their homes and
others walked from one place to another. Whenever I visited my parents’ village, I
played with the children, and fetched water and firewood for home use. My point here
is that the indigenous way of life that may be perceived as a crisis by an outsider may
not necessarily be the case. It is therefore important to note that although various
definitions of poverty exist in the literature, we need to understand the perceptions of
the poor regarding their own definition. For instance, poverty may be defined as
absolute or relative. Absolute poverty refers to having less than an objectively defined,
fixed minimum where as relative is defined as having less than others in society
(Hagenaars and de Vos, 1987).
When I joined St. Catherine University for my college education, the experience
of sitting in the classroom listening to my peers discuss their perspectives of global
justice and helping the poor in developing countries sparked a deep interest within me
to tackle poverty and injustice in a global context. In January 2011, I studied abroad in
Tanzania, a developing country in East Africa. I decided to do my internship in Ilula, a
WHEN HELPING REALLY HELPS 7
rural Swahili-speaking village in Tanzania because I wanted to experience “helping the
poor” in a developing country. This study abroad program was in partnership with
Shoulder to Shoulder, which is a nonprofit organization that works both in Minnesota
and in Tanzania to support and upgrade Lutheran medical facilities in the Iringa
Diocese of the Evangelical Lutheran Church in Tanzania. The mission of Shoulder to
Shoulder is to improve life and health in rural Tanzania. Together with other partners,
Shoulder to Shoulder initiated the Ilula Lutheran Health Center, which is a 70 bed
facility that provides health care to the people in Ilula. The organization has also built a
nursing school. Each year, since 2002, several Minnesota health professionals have
travelled to Ilula for several weeks to provide health services to the people in this area. I
travelled with a team of allied health professionals from Minnesota including nurses,
physicians, physical and occupational therapists, and medical and public health
students. From this trip, I made several observations about helping the poor that I will
share later in this paper.
Another reason for doing this work is connected to my serving on the Opus Prize
Committee at Saint Catherine University, a distinct honor for me. The Opus Prize is a
one million dollar humanitarian award given annually to recognize unsung heroes of
any faith tradition from any country in the world who continue to work towards
solving today’s global issues of poverty and injustice. Additionally, the Opus prize also
includes two prizes of $100,000 each for the first and second runners up. The role of the
WHEN HELPING REALLY HELPS 8
Opus Prize committee is to select at least ten nominees from a pool of over twenty two
nominations from all over the world who will then be considered by another committee
for the finalist positions. As I go through this process, I cannot help wondering about
what will happen in the next ten or even twenty years. Will the poor people in the areas
of those who win this prize become free from the cycles of poverty or will they benefit
from the resources in the short term but continue living in the shackles of poverty?
Taking the Sales for the Social Impact course in fall 2010 was the turning point
for me in forming the framework for this research project. As a student in the course, I
worked with a team of students to develop a business plan for selling a Ewing III
grinder (manufactured by Compatible Technologies International) to a target market of
rural-poor small scale farmers in Uganda. This course posited exciting opportunities for
sustainable development in developing countries. However, as we advanced in the
course, I realized that good intentions for helping the poor do not always equal positive
impact in the communities that we hope to serve as I will discuss later.
Throughout my college experience, I have interacted with peers who care about
global justice issues and individuals working in non-profit organizations with zeal to
help the poor in developing countries. Therefore, in this paper, I seek to identify both
effective and ineffective models of helping the poor in developing countries. I will put
forward recommendations for effectively helping the poor based on the analysis of
WHEN HELPING REALLY HELPS 9
effective and ineffective models that have been implemented in these countries, as well
my observations on the helping process.
Introduction
Helping the Poor at the Bottom of the Pyramid (BOP)
The definition of who comprises the Bottom of the Pyramid (BOP) is an ongoing
debate. Does the BOP constitute the people living on $2 per day or those living on less
than $1 per day? What about the people who make more than $2 per day but still live in
absolute poverty? According to Prahalad (2009), the BOP constitutes the 4 billion poor
people who are emerging consumers that represent a significant market for
multinational firms and the private sector. On the contrary, Karnani (2006) argues that
the number of people at the BOP is grossly overestimated and their average
consumption is $1.25 per day. These authors note that it is difficult to clump people in
one category – the income per day for a poor person in South or East Asia is different
from that of an individual from Sub Saharan Africa. A study by Hammond et al (2007)
stated that those at the BOP of the economic pyramid may constitute the poor in Brazil
who earn less than $3.35 per day, $2.11 in China, $1.89 in Ghana, or $1.56 in India.
For the purpose of this paper, the poor at the BOP is broadly defined as low
income people making less than one dollar a day with little or no access to basic
WHEN HELPING REALLY HELPS 10
essential services such as food, shelter, health care, water and sanitation. The majority of
people at the BOP are dependent on the informal sector for their livelihood (Hammond
et al. 2007). They lack access to markets to sell their labor, agricultural produce, and
handicrafts. Consequently, their work within the informal and subsistence economy
produces a continuous cycle of poverty which leads to lack of economic and social
infrastructure, malnutrition, ill health, and lack of education. Efforts by the global
community to alleviate this inequity are legion.
The issue of poverty alleviation in developing nations is a hot topic on the global
platform. In September of 2000, member states of the United Nations created the
Millennium Development Goals (MDGs) and inevitably, eradicating extreme poverty and
hunger was identified as the first MDG. Poverty is not an easy problem to solve. At the
time, BAN Ki-moon, the UN Secretary General said, “Eradicating extreme poverty
continues to be one of the main challenges of our time, and is a major concern of the
international community. Ending this scourge will require the combined efforts of all,
governments, civil society organizations and the private sector, in the context of a
stronger and more effective global partnership for development….(United Nations,
2002).”
In response to the plight of the poor, many efforts have been put in place to help
those at the BOP in developing nations. There is no doubt that governments, non-profit
WHEN HELPING REALLY HELPS 11
organizations, international agencies, donors, religious institutions, individuals, and the
private sector want to help. In effect, the staggering numbers of people living below the
poverty line, coupled to the detrimental impact of extreme poverty on people in
developing countries creates a moral imperative for people to help the poor at the BOP.
Efforts to alleviate poverty range from government aid to donations collected in a small
community church and sent from a developed country to the poor in a specific
developing country. Although there are various models used for helping the poor at the
BOP in developing countries, some models are effective while others are not. Therefore,
in order to most efficiently use the resources and good intentions of those who want to
help, we need to have a framework for understanding helping the poor, and how it can
be done effectively.
In order to understand poverty at the BOP, in this paper, I provide a historical
analysis of the global systems and their substantial effect on the poor in developing
countries. Then, the efforts to help those at the BOP are categorized into three helping
models: the Government Aid Model, the Entrepreneurship Aid Model, and the
Grassroots Aid Model, each of which is analyzed. The paper concludes with seven
guiding principles that can be used to effectively help the poor at the BOP when
working at the grassroots level.
WHEN HELPING REALLY HELPS 12
Globalization and Poverty at the Bottom of the Pyramid (BOP)
To us, globalization seems to be a recent concept but it actually got going in the era
of colonialism (Ellwood, 2010). Cecil Rhodes, one of the strong advocates for British
Colonial Imperialism, succinctly made the case for Colonialism in the 1890s:
We must find new lands from which we can easily obtain raw materials and at
the same time exploit the cheap slave labor that is available from the natives of
the colonies. The colonies will also provide a dumping ground for the surplus
goods produced in our factories (Goldsmith, 1999).
During this era, European nations established their rule across the world. The majority
of the territories colonized by the Europeans (and later the Americans) were later
referred to as the Third World1. In other words, most of these territories constitute the
developing world. Regions such as the Americas, New Zealand, and Southern Africa
were colonized to establish European settlements. In other areas, especially in Africa
and Asia, the colonial interests were deeply rooted in fulfilling Rhode’s vision: gaining
access to wealth and riches.
1
The term Third World was “derived from the French phrase tiers monde, the term was first used to suggest parallels between the
tiers monde (the world of poor countries) and the tiers état (the third estate or common people of the French revolutionary era). The
First World was the North American/European ‘Western bloc’ while the Soviet-led ‘Eastern bloc’ was the Second World. These two
groups had most of the economic and military power and faced off in a tense ideological confrontation called the ‘Cold War’. Third
world countries in Africa, Latin America, Asia and the Pacific had just broken free of colonial rule and were attempting to make
their own way rather than become entangled in the tug-of-war between East and West” (Ellwood, 2010, p. 25).
WHEN HELPING REALLY HELPS 13
In the 1860s, global trade was booming (Ellwood, 2010). The European powers
siphoned raw materials from their new colonies. They obtained “slaves and gold from
Africa, fruits, sugar and rum from the Caribbean, coffee, sugar meat, gold and silver
from Latin America, and opium, tea, and spices from Asia(Ellwood, 2010).” On the
other hand, they brought manufactured goods and settlers into their colonies. Global
trade expanded – it constituted the flow of wealth from the colonies in the Third World
into Europe and America.
Although some of the wealth was used to invest in the colonies through building
infrastructure such as roads, dams, and railways, the transportation networks were
constructed to maintain a strong hold of their colonies and to strengthen their rule
(Rodney, 1982; Butlin, 2009). In African colonies, the geographical distribution of roads
and railways led to the sea in order to facilitate exportation and importation of goods
for white settlers. Other roads and railways were built to facilitate movement of troops
and make conquests easier.
In recent years, the definition of globalization has broadened to include
communication technology, migration, and global trade (Letto-Gillies, 2003).
Globalization has increased world interconnection through international trade, and it is
central to promoting development and economic growth for developing countries (IMF,
2002). However, the current process of globalization within the global economy is not
likely to reduce the inequalities between developed and developing countries (Hirst
WHEN HELPING REALLY HELPS 14
and Thompson, 2003). According to Goldsmith (1999) the concept of global
development that “has been foisted upon the 'Third World' for the last fifty years is
strikingly similar, in both aims and outcomes, to the Imperial colonialism which
preceded it. The aim of 'development' is not to improve the lives of Third World
citizens, but to ensure a market for Western goods and services, and a source of cheap
labor and raw materials for big corporations. Global Development is Imperialism
without the need for military conquest.” Research by Anwar Sheikh (2005) also shows
that free trade policies at the world market generally favor developed over developing
countries and the wealthy over the poor.
In the following discussion, I will focus on the international governing
institutions (IMF, World Bank, and the World Trade Organization) - how they came
into existence and how their policies affect the lives of those at the BOP to a great
degree. At the end of World War II, the governments from the allied nations (Britain,
the United States, the Soviet Union, Canada, France, Australia, and New Zealand)
decided to establish a new international economic system to run the post war global
economy (Peet, 2003). In July of 1944, delegates from 44 allied nations attended a
meeting in Bretton Woods, New Hampshire in the United States with the aim of
constructing a new structure for international economic relations, and rebuilding the
devastated post war global economy. It should be noted, however, that despite
attendance from 44 nations, most of the discussions that led to the final resolutions were
WHEN HELPING REALLY HELPS 15
dominated by the United States and Britain. These strong allies won the Second World
War, and they wanted to chart the path of development for other parts of the world.
After the gathering at Bretton Woods, three governing institutions were born to help
manage and run the global economy – the International Monetary Fund (IMF), the
International Bank for Reconstruction and Development (later known as the World
Bank), and the General Agreement on Tariffs and Trade (GATT) - (which later became
the World Trade Organization, WTO).
The primary role of the IMF was to “ensure the stability of the international
monetary system—the system of exchange rates and international payments that
enables countries (and their citizens) to transact with one other (IMF, 2011).”
The World Bank (International Bank for Reconstruction and Development) was
founded to address the reconstruction and development of the economies of countries
that were deeply devastated by World War II (The World Bank, 2011). Presently, the
World Bank has expanded and its core mission is to eradicate world poverty.
Initially, those at the Bretton Woods conference concluded that there was need
for an International Trade Organization (Ellwood, 2010). However, due to a lack of
consensus, the General Agreement on Tariffs and Trade was instead formed. The GATT
was an agreement created with the aim of reducing national trade barriers. After several
years of tariff negotiations under the GATT, the World Trade Organization (WTO) was
created in 1994. The WTO serves as an international organization that regulates trade
WHEN HELPING REALLY HELPS 16
between countries, provides a platform for negotiating trade agreements and resolves
disputes between members who are signatories to the WTO agreements.
As a result of the 1944 Bretton Woods gathering, the US dollar was determined to
be the only official international currency in which loans were received and paid back
by other countries (Eichengreen, 2004). In the mid 1970s, oil producing countries in the
developing world were accumulating a lot of wealth (Bello, 2000). The countries came
together to form the Organization of Petroleum Exporting Countries (OPEC) – with this
entity, they were able to control the supply of oil and maximize profits. In effect, the oil
producing nations in the developing world experienced a short term boom in
petrodollars. With the large increase in dollar revenue, the governments of OPEC
countries deposited most of their petrodollars in commercial banks in developed
countries. These banks were interested in making profits on the billions of dollars of
deposits made by OPEC countries.
The commercial banks started to look for borrowers, and many loans bearing
high interest rates were contracted to the poorest and non-oil producing countries in the
developing world (Ellwood, 2010). Worse still, the poor countries in the developing
world needed to repay the loans and interest rates in dollars. With the increase in oil
prices, the poor countries were forced to take more loans with no mechanism to repay.
Often, in many of these countries, the loan money was squandered, and /or stolen by
greedy politicians and elites, who eventually re-deposited the money into their private
WHEN HELPING REALLY HELPS 17
accounts in western commercial banks. Faced with extremely high interest rates, the
governments of poor countries could not repay the loans. They turned to the
International Monetary Fund for help which, together with the World Bank, responded
by issuing and enforcing the tough conditions commonly known as the “Structural
Adjustment Programs (SAPS).”
In the 1980s, the World Bank and the IMF initiated the Structural Adjustment
Policy, which forced poor countries to devalue their currencies, shrink their economies,
and cut down federal expenditures on basic social services including health care,
education and infrastructure on which the poor (particularly women and children)
heavily rely (Bello, 2000; Ellwood, 2010). Women in the developing world, who mainly
constitute the BOP, (Lele, 1991) were heavily affected by the cutting of government
expenditures on social services. In Africa, of the estimated 80-90% of the poor who live
in rural areas, women farmers constitute over half of the poor households.
Antrobus (2004) states that the Structural Adjustment Policies heavily burdened
poor women because they prioritized economic growth over human development –
SAPS dictated the reduction of basic social services and subsidies for the poor while
increasing the advantages to the rich by promoting privatization (the sale of public
assets), and tax exemptions for exports. I concur that that SAP programs systemically
fostered poverty at the BOP in developing countries. The poor countries were promised
WHEN HELPING REALLY HELPS 18
new loans in return for their devotion to the Structural Adjustment Programs.
Otherwise, they would be disadvantaged and left out of the global economy.
Figure 1, (from Ellwood, page 56) demonstrates how Structural Adjustment
Programs created poverty for governments of selected countries.
Figure 1: Creating Poverty (Ellwood, 2010)
The Bretton Woods Institutions, particularly, the IMF and the World Bank
play a significant role in foreign aid (Svensson, 2000). Giving foreign aid to
governments of poor nations is a popular initiative intended to alleviate poverty and
WHEN HELPING REALLY HELPS 19
promote economic development within those nations (Erbeznik, 2011). It is based on the
notion that developing countries cannot prosper without financial assistance from
developed countries.
Government Aid Model – Giving Foreign Aid to Governments at the
Bottom of the Pyramid (BOP)
Since World War II, more than two trillion dollars in government aid from developed
nations has been invested in development projects in developing nations (Taylor,
Taylor, and Taylor 2012). The government aid model of helping constitutes the flow of
aid from donor countries and international agencies, to the governments of developing
countries. According to the World Health Organization (2012), aid refers to the
“international transfer of public funds in the form of loans or grants, either directly
from one government to another (bilateral aid), or indirectly through nongovernmental
organizations or a multilateral agency (multilateral aid) such as the World Bank or
WHO.”
Rethinking Development and Foreign Aid – Examining the Global System
I argue that the developed world needs to rethink its conceptualization of
development and helping those at the BOP. The belief that countries at the BOP cannot
develop without financial assistance from developed nations is a victimizing approach
WHEN HELPING REALLY HELPS 20
that ends up hurting the BOP in the long term. Governments of developing nations
have become heavily dependent on aid money (Moyo, 2009). Dependence on aid makes
them less likely to have the incentive to create innovative strategies that can pull their
countries out of poverty. According to Svensson (2000), governments that are recipients
of foreign aid have little incentive to fully improve the welfare of the poor since the
disbursement of aid is partly guided by the presence of the needs of the poor. When a
big sum of aid money is given for infrastructural development to construct a road, for
example, it is not surprising to find that a few years later, the constructed road is full of
pot holes due to poor (or lack) of maintenance by the government. In Tanzania,
although foreign aid donors spent over $2 billion in the past twenty years to construct
roads, the road network did not improve (Easterly, 2006). In fact, the majority of the
newly constructed roads were deteriorating faster than the new ones that were being
built leading to decreased access to transport of goods and services for those at the BOP.
I have witnessed the detrimental effects of poor roads on the wellbeing of the
rural poor in Tanzania. During my public health internship, I participated in HIV
mobile clinics in which we provided care and HIV testing and counseling for the people
in the community. I vividly remember an incident of a husband who brought in his
very ill wife for HIV testing. She was weak, with swollen legs, and various
opportunistic infections (infections that take advantage of a weakened immune system).
The woman was diagnosed with AIDS and she needed urgent care that could only be
WHEN HELPING REALLY HELPS 21
provided at the main hospital. With only a bicycle as their means of transport, her
husband carefully helped her to the bicycle seat and he gently pushed the bicycle to
Ilula Lutheran hospital, which was about 20 miles away. He could not ride the bicycle
because the roads were bumpy with deep potholes – riding fast would only inflict more
pain for his sick wife, and would risk her falling off the seat, since she was very weak.
This illustration shows that the poor at the BOP need good roads, and accessible health
care services. However, if aid money cannot be turned into critical services to meet the
needs of the poor, then the foreign aid model should be critically analyzed and
alternative helping models that most effectively meet the needs of the poor should be
put forward.
It has been repeatedly reported that aid from donor countries and international
agencies such as the World Bank is not reaching those it intended to help (Winters,
2010). A case in point is Uganda, where an audit report in 2005 revealed gross
mismanagement of funds provided by the Global Fund (Kapiriri and Martin, 2006). The
Global Fund is an international agency that finances health care programs to fight
AIDS, Malaria, and Tuberculosis. Thus far, the Global Fund has invested over US $22
billion in 150 countries (Global Fund, 2011). According to Kapiriri and Martin (2006), a
substantial amount of money from the Global Fund in Uganda was unaccounted for, or
inappropriately spent. There was also a lack of adherence to the criteria. Incidents such
WHEN HELPING REALLY HELPS 22
as this, where recipient governments are plagued by corruption and misuse of funds,
are common in developing nations which receive aid. Corruption and misuse of funds
are often mentioned as one of the main reasons why foreign aid is not effective at
alleviating poverty and accelerating economic development. (Tarp, 2002)
According to Arieff, Jones, and Weiss (2009), foreign aid to developing countries
greatly depends on the global economy. In the least developed countries, particularly
in Africa, a global recession greatly affects their economies through various channels:
decline in global trade, reduced investments, lower remittances from migrant workers,
and cuts in foreign aid. In the presence of a global financial crisis, foreign aid is most
likely to decrease. Several developing countries at the BOP depend on foreign aid to
balance their budgets and provide basic services to their citizens (Rehman, 2002).
Therefore, foreign aid cuts aggravate the living conditions of those who are the poorest
at the BOP.
I believe that foreign aid can make many valuable contributions to meet the
desperate needs of the poor at the BOP, but it cannot end world poverty or develop
those in the developing world. It is highly dependent on the global economy and the
agendas of those who give aid: therefore, it is not sustainable in the long run.
Development is an empowering process that involves participation from the helpers
and those being helped at the BOP. It goes beyond pumping donations and money into
WHEN HELPING REALLY HELPS 23
“development projects” to help the people in the developing world. The first MDG aims
to halve poverty by 2015. Although the MDGS are presented as time bound, with well
documented goals that will allow for the poorest to progress, I argue that these goals
cannot be achieved unless there is change in the policies within the global system. The
poorest at the BOP constitute 40% of the world’s population, but they only account for
5% of the global income. On the other hand, the wealthiest comprise 20% of the
population but account for 75% of the world income (United Nations, 2009). These
alarming statistics are an indication that injustice is highly prevalent in the global
system. The poorest countries have a negligible voice in international trade regulatory
bodies (Khor, 2000; United Nations, 2009). Worse still, these countries mostly have agro-
based economies with their exports, such as cotton and sugar, facing higher export
barriers. I contend that the broader geopolitical and economic systems impose the
biggest challenges for the development of the poorest countries at the BOP.
I recommend that the governing global institutions (including the IMF, World
Bank, and United Nations) which are predominantly financed and influenced by rich
countries should not only infuse money into poor economies but also make significant
policy changes that are favorable to poor countries. There is an urgent need for
substantial changes in the global economy that can reflect the passion that the
developed world claims to have in eradicating poverty in developing nations.
WHEN HELPING REALLY HELPS 24
An example of a policy change that would be favorable to those at the BOP is the
elimination or reduction of farm subsidies to farmers in developed countries. The
governments of many developing countries have expressed concerns regarding the
extensive use of farm subsidies by developed countries (Pal, 2005). Developed countries
such as the United States spend millions of dollars to support domestic farm subsidies.
Consequently, these huge subsidies greatly influence commodity prices in the world
market. The global prices of agricultural commodities are greatly reduced, and hence
poor farmers at the BOP in the developing countries receive low incomes (Mshomba,
2002).
U.S. Agricultural foreign policy primarily focuses on expanding exports at the
expense of the poor farmers in developing countries (Ray, Ugarte, &Tiller, 2003). Most
developing countries are unable to compete with the U.S. production resources and the
subsidized prices of grains. Therefore, poor farmers at the BOP receive prices that do
not cover their crop production costs. Considering the power differentials in the trade
regulatory bodies, developing countries are forced to sacrifice domestic food security
policies in exchange for debt forgiveness and access to the world market. Fully aware of
the fact that agriculture forms the economic back bone of most countries in the
developing world, why won’t developed countries create just policies that allow poor
farmers at the BOP to compete at the world market?
WHEN HELPING REALLY HELPS 25
From my analysis, it seems that those who generate and apply helping models
for the poor tend to forget the enormous influence of the global systems and their
fundamental effects on the individual poor at the BOP. The global system may be
complex to understand, however, its detrimental impact at the BOP in developing
countries trickles down and seriously affects the well being of the individual poor in
those countries. For example, when prices of agricultural commodities are lowered in
the world market due to allocation of farm subsidies in developed countries, the poor
farmers at the BOP cannot earn enough money to cover costs for fertilizers, seeds,
credit, labor and other production costs. Many end up incurring debt, and lack access to
basic social services including health care, nutrition and education for their families.
Without access to basic services, the poor are liable to be less productive and therefore
continue living in the cycle of poverty. These consequences are largely due to
unfavorable foreign policies, yet the profound damage created by such policies that are
enacted in the global system is rarely examined. Instead, more time is spent finding
solutions to “fix” the poor people’s problems and “empower” them to carry themselves
out of poverty.
We clearly live in a world where the power in the global system is unequally and
unfairly distributed. I am deeply perturbed by the fact that those who hold the most
power (the rich countries) are the front runners planning for the poorest in the BOP to
progress. With the prevailing global policies that mostly favor those in developed
WHEN HELPING REALLY HELPS 26
world, are the planners genuinely concerned about the needs of the poor at the BOP?
William Easterly (2007), in his book, the White Man’s Burden, states that over $2.3 trillion
has been spent by donor agencies to fund government programs to alleviate poverty in
the last sixty years, but substantial world poverty still exists. I concur with Easterly who
suggests that the searchers (those who spend more time at the grassroots level working
hand in hand with the poor to identify feasible opportunities to alleviate poverty) are
more effective at helping the poor.
Grassroots Aid Model
In the Grassroots Aid Model, the people being helped are actively engaged in the
process of building and maintaining development initiatives in their own communities.
They develop their own services, and establish their own “efficacy and control” (Taylor,
et al 2012). The Grassroots aid model differs from the Government aid efforts in which
the outside donors usually start with a needs analysis, develop a plan with specific
goals and targets, and then initiate and drive change with a stream of funding. The
outsiders assume that they understand the needs of the poor, and they know how to fix
them. On the other hand, the Grassroots approach utilizes human capital and the
expertise of those at the BOP.
Wangari Maathai’s Green Belt Movement is an example of a successful
grassroots initiative that has prospered for twenty seven years (The Green Belt
WHEN HELPING REALLY HELPS 27
Movement, 2012). Wangari Maathai, a Kenyan environmental and democracy activist,
was the first African woman to receive the Nobel peace prize, in 2004. In 1977, she
founded the Green Belt Movement by organizing women in rural Kenya to plant trees,
stop soil erosion, and deforestation, and to restore their main source of fuel for cooking.
The grassroots tree planting initiative also provides employment to the women in rural
Kenya. Since its initiation, over forty million trees have been planted and over thirty
thousand women have been trained in forestry, food processing and other trades to
help them earn an income while preserving their
land and natural resources.
The Green Belt Movement is a local initiative that
is entirely managed by Kenyans and mostly relies
on local capacity, knowledge and expertise
(Maathai, 2004). Most of the participants reside in
rural areas and majority are women.
Local communities in Kenya (both women and
men) have been motivated to organize to prevent
further environmental degradation and preserve lands
that have been damaged.
In the Grassroots aid model, the helpers directly work with the individual poor
in the helping process. I have noticed the widespread use of “empowerment of the poor
Figure 2: Members of Green Belt Movement plant
trees on an eroding hillside (Green Belt Movement,
2012)
WHEN HELPING REALLY HELPS 28
to help themselves” as the popular language for groups and individuals engaged in
helping the poor at the BOP. However, despite the use of this language, many helping
models do not take into account the dynamics of control and power between the
helpers and the helped. Therefore, it is important to first understand the true meaning
of empowering the poor, which starts with the full participation of the poor in the
design, planning, implementation, and evaluation of projects aimed at helping them.
Table 3 shows the different participation levels of the poor that have been observed in
practice. (Corbett and Fikkert, 2009).
WHEN HELPING REALLY HELPS 29
Table 3: A continuum of different participation levels of the poor in the helping process (Corbett and Fikkert, 2009).
As shown in table 3, when the poor at the BOP are totally empowered, they are
in the community initiated stage where they mobilize and run their own projects, and
they have the power to determine the role of outsiders in their programs. I realize that
many helping models do not usually reach this stage. However, the community
WHEN HELPING REALLY HELPS 30
initiated stage of participation is possible according to demonstrated experiences and
existing evidence from literature sources (Hunter, 2011). I urge groups and individuals
who are engaged in helping the poor to cultivate the co-operation or co-learning
participatory process which ensures that the poor and the outsiders share their
expertise to identify priorities, plan, design, implement, and evaluate outcomes. This
approach is more effective and more sustainable in the long run.
Regarding sustainability, entrepreneurial- based aid models have been promoted
as a key factor for long term and sustainable economic development by fostering
growth, creating jobs, alleviating poverty, adapting technology and stimulating
innovation (Brixiova, 2010). I believe that entrepreneurship-based aid models that are
successful need to integrate a grassroots approach which empowers the poor to reach
the community initiated stage of participation. Below is a detailed analysis of the
Entrepreneurship aid model.
Entrepreneurship Aid Model – Engaging the Market at the Bottom of the
Pyramid
First of all, it should be noted that there are significant differences among
countries regarding the type of entrepreneurial activities, including necessity and
opportunity entrepreneurship (Baumol, 1990; Acs, Desai & Hessels 2008). In necessity
entrepreneurship, an individual becomes an entrepreneur because there is no better
WHEN HELPING REALLY HELPS 31
option, whereas in opportunity entrepreneurship an individual makes an active and
conscious choice to start a new business based on the perception that an unexploited or
underexploited business opportunity exists (Acs, 2006). Google is an example of a
business venture within opportunity entrepreneurship. The poor at the BOP who are
mostly employed in the informal sector mostly engage in necessity entrepreneurship.
They sell surplus food crops or handicrafts in order to provide basic social needs such
as food, water, and health care for their families. Research by Temkin (2009) found that
individuals, who work in the informal sector such as rural small holder farmers, are
vulnerable and insecure. Informal employment is a survival strategy for the poor to care
for themselves and their families.
In developing countries, necessity entrepreneurship is most common, while
opportunity entrepreneurship mostly prevails in developed countries. Individuals who
are more educated are involved in opportunity entrepreneurship while those who are
less educated are involved in entrepreneurship out of need. Research conducted by Acs
and Varga (2005), has shown that opportunity entrepreneurship has a positive effect on
development while necessity entrepreneurship almost has none. It is therefore
important for organizations and individuals who intend to help the poor in developing
nations to note the importance of opportunity (productive) entrepreneurship as a
means for promoting development.
WHEN HELPING REALLY HELPS 32
The entrepreneurship aid model posits that poverty alleviation in developing
countries can be achieved through analysis of BOP markets and provision of products
and services that meet the needs of this population (Prahalad, 2009). Engaging the
market at the BOP has become a popular initiative taken up by multinational firms,
private sector companies, and some non-profit entities. Private sector companies and
multinational firms believe that they can make immense profits and simultaneously
eradicate poverty by selling to the market at the BOP. This aid model seems feasible
because both parties can benefit. However, the majority of the people at the BOP are
employed in the informal economy and lack access to good markets for their crops,
handicrafts, and other products (and thus cash). Why is it that wealthier nations do not
buy from these individuals rather than sell to them? Karnani (2006) agrees with the
approach that the poor at the BOP should be viewed as producers and instead the
private sector should buy from them rather than sell to them.
Critique of the Entrepreneurship Aid Model
In my opinion, the market-based approach to eradicating poverty is questionable
because the goals and mindset of the private sector are different from those of the
communities they hope to help. They aim to reap maximum profits from their business
ventures and may not necessarily aim to address the underlying causes of poverty.
Alleviating poverty and promoting development within communities at the BOP is a
WHEN HELPING REALLY HELPS 33
not a quick fix – it is an ongoing process that requires investment of time, resources, and
empowerment of those at the BOP to engage in assisting themselves. Market-based
approaches that are actively engaged and genuinely involved in helping the poor at the
BOP have been found to be more effective.
A case in point is the Grameen bank, a microcredit initiative founded by
Muhammad Yunus, a Bangladeshi economist who received the Nobel peace prize in
2006 (Akula, 2011). Yunus started Grameen bank as a microcredit financing project that
issues small loans to the poorest at the BOP without requiring collateral (tangible assets
such as a car or house against which to borrow). Yunus recognized that although the
poor lacked collateral, their way of life was centered on trust and interdependence
(Moyo, 2009). The lending system of microcredit involves the voluntary formation of
small groups of five people who are allowed to borrow a small loan that they can use to
engage in feasible income generating activities for example paddy husking, lime-
making, and manufacturing goods such as pottery, textiles, and garments, and storage,
marketing and transport services. Through micro-credit, the average household income
increased for those being helped, and many have become self employed. With women
constituting ninety percent of the borrowers, they have improved the nutrition of their
families, as well as experiencing a reduced dependency on their husbands. The
microcredit lending system using the Grameen model is explained below (Grameen
Bank, 2011):
WHEN HELPING REALLY HELPS 34
A bank unit is set up with a Field Manager and a number of bank workers,
covering an area of about 15 to 22 villages. The manager and workers start by
visiting villages to familiarize themselves with the local milieu in which they will
be operating and identify prospective clientele, as well as explain the purpose,
functions, and mode of operation of the bank to the local population. Groups of
five prospective borrowers are formed; in the first stage, only two of them are
eligible for, and receive, a loan. The group is observed for a month to see if the
members are conforming to rules of the bank. Only if the first two borrowers
repay the principal plus interest over a period of fifty weeks do other members of
the group become eligible themselves for a loan. Because of these restrictions,
there is substantial group pressure to keep individual records clear. In this sense,
collective responsibility of the group serves as collateral on the loan.
This market-based helping model empowers the poor by enabling them to access credit
and on their own; they are able to create economic opportunities that fit with their
skills, expertise and knowledge. Additionally, the helpers are genuinely interested and
invested in the process of helping the poor in the local villages.
Entrepreneurs seize opportunities for innovation and produce products or
services that meet the needs of the target population at the BOP (Prahalad, 2009).
However, some of these market-based approaches are unsuccessful because they
usually concentrate on selling products or services to BOP consumers without assessing
and listening to the needs and perceptions of the poor.
In the Spring of 2010, I was a student in the Sales for Social Impact course in
which student teams had the task of developing sustainable business plans for re-
launching the Ewing III Grinder in Uganda. The grinder is a product produced by
Compatible Technology International (CTI), a non-profit organization based in Saint
WHEN HELPING REALLY HELPS 35
Paul, Minnesota, which aims to eradicate poverty and hunger in poor countries by
designing and distributing simple, life-changing food and water technologies (CTI,
2008). The Ewing III Grinder is manually driven and it grinds a variety of grains and
nuts into flour or paste. Our target market constituted the rural small holder farmers
who resided in areas with little or no electricity in Uganda. In our analysis, the Ewing
III Grinder would be a much needed upgrade from the mortar and pestle (the local
technology) which takes a lot of effort and energy and produces a substantially smaller
amount of paste, which is often used for only home consumption. With the grinder as a
small business opportunity, the poor farmers in Uganda would decrease food
processing time, produce smoother and larger quantities of paste, improve nutrition,
and increase household income. As we created our business plan, all this information
made sense. However, the rural small holder farmers for whom we were planning may
not necessarily be entrepreneurs. It is harmful for market-based helping models that
target consumers at the BOP with products and services to assume that the poor are
creative entrepreneurs and discerning consumers (Karnani, 2009). This assumption
permits corporations, governments, and nonprofits to deny this vulnerable population
the protection it needs from exploitation. Hammond et al (2007) states that majority of
the poorest people at the BOP face the BOP penalty – “they pay higher prices for goods
and services than wealthier consumers, either in cash or the effort expended to acquire
them, and they often receive lower quality as well.”
WHEN HELPING REALLY HELPS 36
Even though our measurable outcomes for using the grinder made sense, we also
needed to provide basic entrepreneurial training for the rural farmers and also assess
their needs. Otherwise, our big plans would most likely fail and the poor farmers who
purchased grinders (using microcredit) would continue living in the same cycle of
poverty without benefiting from the grinder as we had predicted.
An illustration of this point comes from CTI’s initial launch of the grinder in the
rural districts of Northern and Eastern Uganda in 2002 (DMT Consultants, 2007; AT
Uganda Ltd, 2004). When CTI introduced the grinder, women’s co-operative groups
were enthusiastic about the small business opportunity it promised. Several groups
purchased grinders using microcredit lending services. The project appeared to be
successful after its launch. However, a few years later, when one of the staff members
from CTI returned to the villages, they found that several co-operative groups had not
continued using the grinder after CTI left. One of the women’s groups had stored the
grinder with its hardened and dried paste from the few times it had been used. The
group had not been taught how to properly disassemble the grinder and clean it for
later use. Other groups did not have access to spare parts while others could not
understand the assembly manual since the instructions were in English. This example
illustrates that entrepreneurial-based helping models are less likely to succeed if those
implementing the projects do not first assess the needs of the community as well as
understand the cultural context. Market based initiatives that report success by
WHEN HELPING REALLY HELPS 37
counting the number of products sold, for our case, grinders, as an indication of success
in alleviating poverty do not provide an accurate assessment of the actual outcomes.
I challenge non-profit organizations in developed countries that engage in
helping efforts for the BOP to stop imposing their solutions on poor communities.
Unless the poor in those communities embrace and own those projects, I strongly argue
that they will not be successful. For the case of CTI, I must give credit to the
organization for their commitment and continued dedication to the mission of
alleviating poverty and hunger. From the organization’s evaluation reports in Uganda
and the sustainable business plans written by students in the Sales for Social Impact
course, CTI is currently re-launching the grinder project with a new approach. There
has been extensive assessment of the needs of rural farmers, and also, CTI is
collaboratively working with on-ground organizations to train rural farmers and
women’s cooperative groups that are interested in utilizing the grinder to improve their
household income and nutrition. I was invited to serve on the CTI Africa Committee
and I am assisting with the implementation of the grinder project in Uganda.
CTI has collaborated with Village Enterprise, an organization that is working on-
the- ground in Soroti district (Eastern Uganda), to equip people living in extreme
poverty with resources to create sustainable businesses (Village Enterprise, 2011).
Village Enterprise provides entrepreneurial training and mentoring to the poor farmers
WHEN HELPING REALLY HELPS 38
who purchase the grinder. After the training, the rural farmers create their own
business plans and apply for a start up grant to implement their business proposal.
Since the organization is based in a village in Soroti, the farmers will have access to
spare parts if needed, mentors who can speak their language and assist them with
entrepreneurial training, as well as with the grinder assembly and disassembly process.
The entrepreneurial trainers and mentors are local people from the community. This
helping model is grassroots based and it ensures that the rural farmers are active
participants in creating their own efficacy strategies to ensure sustainability of their
small businesses.
When Helping Really Helps: The Seven Guiding Principles
Some of my American peers have expressed interest in teaching English or doing
an internship in a developing country. Some who are in the nursing program are
interested in treating the sick in poor communities at the BOP after they graduate. I
have either observed or worked with NGOs based in the United States that work in
rural poor communities in Tanzania, Uganda, Kenya, Haiti, Honduras, and other
developing countries. Some of the organizations include Shoulder to Shoulder,
Compatible Technology International, and Project Concern International. Having
engaged in as well as observed and researched the mechanism of grassroots helping
WHEN HELPING REALLY HELPS 39
models, I recommend the following guiding principles for individuals or organizations
interested in doing this work at the BOP:
Be aware of the global view held by the people in the local community, it can heavily
influence their ability to break out of the cycle of poverty.
When people have a mindset that drives their way of life, simply imposing a
solution to their poverty problems will not provide sustainable and long term solutions
to poverty alleviation. A simple analogy of imposing a solution on others comes from
my most recent interaction with my family:
Over the December break in 2011, I visited my family in Uganda. With my public
health knowledge that I have learned throughout my college education in the
United States, I was quick to request my family to always wear seatbelts in the
car in order to reduce the risk of death due to road accidents. However, my
mother’s response to my request was, “for all this time that you have been gone,
we have not worn seatbelts and we have not died in road accidents – what makes
you think that we need them now that you are here?”My mother’s response has
stuck with me since I left home. It has challenged me to wonder if what is done
to help the poor really helps. If a well intentioned donor who wants to reduce
road accidents that result from not wearing seatbelts donated a car with seat
belts to my mother (or others in my home village who may share her
perspective), of course she will happily embrace the car, but she would most
likely not wear the seatbelt. Many helping models fail to assess the actual
underlying factors (such as the global view) that perpetuate poverty at the BOP.
In my mother’s case, she needed education with vivid examples showing that
seat belt use can save her life. Otherwise, donating a car with seatbelts would not
change her mind set about seatbelt use.
WHEN HELPING REALLY HELPS 40
Address underlying factors that perpetuate poverty
If helping models such as market based initiatives are implemented without
understanding the underlying causes of poverty, cultural context and way of life of the
communities being served, then, they are much more likely to fail. Corbett and Fikkert
(2009) give a good example to illustrate this point:
A Christian relief and development agency attempted to improve crop yields for
poor farmers in Bolivia’s Alto Plano. Although successful in increasing output,
the impact on the farmers’ incomes was far less than hoped because of the
farmers’ deep reverence for Pachamama, the mother earth goddess who presides
over planting and harvesting. Seeking Pachamama’s favor, the farmers
purchased IIama fetuses, a symbol of life and abundance, to bury in their fields
before planting. At the time of harvest, the farmers held a festival to thank the
Pachamama. The larger the harvest, the larger the celebration was. In fact, a large
percentage of the farmers’ income was being sent on the IIama fetuses and on the
harvest festival, there by contributing to the farmers’ material poverty.
Before you offer help in a local community, evaluate whether it is relief, rehabilitation
or development aid.
I concur with Corbett and Fikkert (2009) who state that we need to distinguish
between relief, rehabilitation, and development aid. Failure to do so often leads to
harming those we intend to help. Worse still, poverty alleviation efforts are stalled.
Relief refers to the aid given in an emergency situation to provide short-term assistance
needed to recover from a natural or man-made disaster. For example, the earthquake
that struck Haiti in 2010 was a catastrophic event that led to the death of many people,
and destroyed social and economic infrastructure. People were left stranded with no
WHEN HELPING REALLY HELPS 41
food, water, shelter, or basic healthcare. Therefore, relief efforts were needed to help the
people in Haiti. Relief aid, which is often material in nature, is appropriate in situations
where people are helpless because they are unable to assist themselves. Relief aid
involves a donor-recipient relationship where the donor gives material donations to the
recipient of aid. Rehabilitation refers to aid given to restore people and communities to
the living conditions prior to the occurrence of a disaster. This stage involves a dynamic
relationship between the victims and the helpers- the victims closely work together
with the helpers to restore their lives. Development refers to aid given in the form of an
empowering process of ongoing change that addresses the underlying causes of
poverty. It goes beyond giving material resources and engages both the helper and the
helped in the process of finding lasting solutions to ensure sustainable development.
Be cautious of the Savior Mentality
Before engaging in helping the poor, individuals or groups should take a close
look at their own perceptions of those they intend to help. For me, the underlying
motivation to participate in helping the poor at the BOP comes from the compassion
and the moral imperative that I feel because I want to see a world in which people can
enjoy the basic necessities of life. However, sometimes, those of us who have good
intentions of helping those at the BOP romanticize the poor by assuming that their way
of life needs urgent intervention – in other words, they need to be saved from their
WHEN HELPING REALLY HELPS 42
horrific life condition and we need to do something in order to help them. This “savior
mentality” is dangerous because it shields those who have it from genuine relationship
building and it creates a perception of lived helplessness for those being helped. The
poor internalize themselves as victims rather than empowered individuals with the
knowledge and expertise to help themselves. The helpers who have this mentality may
also end up hurting instead of helping.
During a public presentation, a Minnesotan senior nurse educator shared her
experience travelling with nursing students to an impoverished community in
Peru. She mentioned that her team of nurses usually prescribes antibiotics for
only three days for patients with a Urinary Tract Infection (UTI) because the
community has limited resources and her team wants to impact more people
with their services. Curing a UTI needs a prescription of antibiotics for at least
five days. This nurse assumed that by giving a half dose to the Peruvian patients,
they were helping them while using the limited resources they had available.
However, she did not realize that she was instead hurting them in the long run
because incomplete doses of antibiotics lead to drug resistance and the infection
becomes more expensive to treat.
Start with the assets and not just what is lacking in the community
Asset mapping is an effective tool for recognizing and utilizing the existing
talents and resources in local communities at the BOP (Lionel, 2002). The ability of
communities to alleviate poverty and promote long term development is contingent
upon their ability to “uncover and build on the strengths of its people, institutions and
informal organizations.” Research by Taylor et al (2012) also states that those who are
helping the poor need to build on the successes while continuing to improve on what is
WHEN HELPING REALLY HELPS 43
working as regards to the resources available in the community. An example is given
below to illustrate the effectiveness of asset mapping (Taylor et al, 2012):
In 1998, there was a cholera outbreak in Palin, a local village in Arunachal
Pradesh, India. A team of helpers called Future Generations was invited to help
the community with stopping the epidemic. Through an asset mapping process,
they realized that the women had salt and rice flour in their homes. Instead of
going to the hospital to seek for intravenous rehydration or buying oral
rehydration salts at the local pharmacies, the team trained the women in making
rehydration therapy using the resources in their own homes – rice flour and salt.
This intervention was cheaper, and it empowered the women to have control
over the health of their families.
Ensure that the local people are active and full participants in the planning, designing,
implementation and evaluation of the projects.
Successful helping models such as Wangari’s Green Belt Movement and CTI’s
collaboration with Village Enterprise, utilize the people at the BOP as the chief drivers
of change in their communities. The people are the number one resource, not money.
When people are empowered as full participants in the process, they can teach others,
improve existing structures, and expand the momentum of what they want to see in
their community.
Build relationships that can forge trust between you and the local people in the
community you intend to help
WHEN HELPING REALLY HELPS 44
Relationships are recognized as a vital component of helping local communities
with poverty alleviation using the grassroots approach (Gecan, 2002). Speer and
Hughey (1996) state that when the local people in the community build relationships
with the helpers, they are more psychologically empowered, and they have higher
perceived self and collective efficacy to accomplish tasks. I believe that building
relationships starts with knowing your location in the helping process - the helper is
often perceived by the helped as a powerful individual. The helper usually has
resources such as funding, knowledge, or a skill that they are using to help the poor.
The possession of these resources creates a dividing wall that holds the helper as a
superior and the helped as an inferior.
While in Ilula, Tanzania, one of the Minnesotan physicians with whom we had
travelled (also co-founder of Shoulder to Shoulder), was perplexed after a
meeting with the hospital staff. He was trying to figure out the best time of the
year to officially open the nursing school since the buildings were now
completed. However, whenever he talked in the meeting, all the staff members
quickly acknowledged his contributions and said “yes” to all his suggestions.
After the meeting, he was frustrated because he was not sure if the “yes” from
the staff really meant they agreed with him. When he asked for my opinion
about what had transpired, I told him that he needs to realize that he has power
and he is perceived as a powerful person by the hospital staff. The nursing
school was constructed because of the funding provided by Shoulder to
Shoulder, and that makes him superior when it comes to making decisions. The
physician did not think of himself as a superior in the meeting, however, those
being helped perceived him as such. The hospital staff was probably worried
that their opinions may affect funding in the future.
Therefore, it is important to acknowledge the power you have (as the helper) and how it
impacts your relationship with those who you intend to help. Building relationships
WHEN HELPING REALLY HELPS 45
and trust with the local communities takes time. Nevertheless, when the poor fully and
actively contribute to the helping process, the dividing wall is gradually broken because
the helper and the helped are both powerful and they are partners working hand in
hand to alleviate poverty in the local community.
Individuals, groups and organizations that are engaged in grassroots efforts
including market-based initiatives to help the poor at the BOP need to be aware of the
seven guiding principles. I understand that Grassroots helping models take different
forms; however, I believe that the seven principles provide a key stepping stone to
ensuring effective helping models that really help the poor without hurting them.
Conclusion
There is no one right way of helping the poor at the BOP in developing countries.
However, it is important to note that our global systems are flawed, and they are more
complicated to fix. Due to the defective global system, Government aid from developed
countries and international donor agencies usually comes with strings attached or
conditional ties (Mourmouras & Rangazas 2009). International assistance (loans and
grants) that comes with conditions of public investment alone does not increase welfare
of the poor or growth for the recipient governments even if the conditions are fully met.
Western donors and agencies direct their aid efforts towards governments that are more
democratic, and heavy sanctions are imposed on those countries that are not making
WHEN HELPING REALLY HELPS 46
satisfactory progress (Baylies, 1995). The donors aim to transform societies and political
systems (Easterly, 2007; Tarp, 2002) – therefore, aid goes to those who are more
democratic. Meanwhile, the poorest that are unfortunate to have “non-democratic
leaders” are then left out without benefiting from Government aid.
I believe that the grassroots approach is essential to ensuring successful poverty
alleviation efforts at the BOP. Individuals, groups, and organizations that use
Grassroots aid models search for solutions on ground – they adapt to local conditions,
and they understand that poverty is a multidimensional problem due to cultural, social,
political, and economic factors. Unlike the Government aid model which focuses on
giving aid to governments, the grassroots model works directly with the individual
poor by working hand in hand with them, to identify and implement solutions to their
problems. “Genuine human progress involves the use of human hands, hearts, and
minds to do what we can with what we have, here, today” ( Taylor et al , 2012).
WHEN HELPING REALLY HELPS 47
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